Do fibroids come back after a myomectomy?

Why fibroids can return

A myomectomy removes the fibroids the surgeon can find and reach. Very small seedling fibroids may be too small to see or feel and can grow over the following years. And because fibroids grow under the influence of your hormones, the womb can keep forming new ones until menopause.

This is why surgeons talk about fibroids 'recurring' rather than 'growing back'. It is not a sign the operation was done badly.

Who is more likely to see them return

The chance is generally higher for women who:

• Had many fibroids removed rather than one or two
• Are younger at the time of surgery, with more years before menopause
• Have a family history of fibroids
• Do not go on to have a pregnancy after the operation

How you would know

Many recurrent fibroids are small and cause no symptoms. Signs worth seeing a gynaecologist about include periods becoming heavy again, a swelling in the lower tummy, pressure on the bladder, or difficulty getting pregnant. A pelvic scan shows whether new fibroids are there and how large they are. There is no need for routine scans if you feel well, unless your gynaecologist advises them.

Can you prevent new fibroids?

No food, herb or supplement has been shown to stop fibroids returning. Keeping to a healthy weight and treating heavy periods early are sensible for your general health. Some hormonal treatments may help control bleeding from new fibroids, and your gynaecologist can discuss whether any are right for you.

If they do come back

Fibroids that return but cause no trouble can simply be watched. If they cause symptoms, the options are the same as before: medicines for bleeding, a hysteroscopic removal for a fibroid inside the cavity, a repeat myomectomy, or a hysterectomy if you have finished having children. A second myomectomy is possible but can be harder because of scar tissue from the first.

Common questions